Bladder Injury Risk in Surgical Procedures
This question asks to identify the surgical procedure from the options provided where urinary bladder injury is LEAST likely to occur. Analyzing the anatomical proximity and surgical dissection planes is key.
Surgical Procedure Analysis
- Inguinal hernia repair: While not directly adjacent, the bladder can extend into the inguinal canal in some cases (bladder hernia) or be injured due to proximity during repair, especially complex cases. Risk exists.
- Hysterectomy: This surgery involves dissection near the bladder, particularly the anterior aspect. The bladder wall can be inadvertently injured during separation from the cervix or uterus, or due to adhesions. Significant risk exists.
- Surgery for rectum: Rectal surgery requires dissection in the deep pelvis, close to the posterior and inferior aspects of the bladder. Injury is a known complication due to the close anatomical relationship. Significant risk exists.
- Inguinal lymph node dissection: This procedure focuses on removing lymph nodes in the superficial and deep inguinal regions. The primary dissection plane is generally lateral and anterior to the pelvic organs, making direct bladder injury less common compared to the other procedures listed. The risk is considerably lower.
Therefore, Inguinal lymph node dissection is the operation where urinary bladder injury is least likely among the choices given.
Important Questions from Urinary System & Surgical Disorders
- A 20 years old man had history of pain in the right side of abdomen. His X-ray abdomen AP view shows radio-opaque shadow, which on lateral film falls behind the vertebral column. The probable diagnosis is:
- Which of the following are correct about ectopic ureters ?
1. They are more common in males
2. They drain the upper pole of kidney
3. They are associated with duplex ureter
4. They may cause incontinence
Select the correct answer using the code given below : Which of the following statements are correct regarding renal cell carcinoma?
1. It arises from the epithelium of the proximal convoluted tubule.
2. It has a female preponderance.
3. Major subtypes are clear cell, papillary and chromophobe.
4. Surgery is the mainstay of treatment for disease. organ-confined
Select the answer using the code given below.
Which of the following are features of autosomal dominant polycystic kidney disease?
1. Cyst may also occur in liver, pancreas and arachnoid membrane.
2. Most commonly manifests between 20-30 years of age.
3. Clinical manifestations are renal and extrarenal.
4. Men tend to progress to renal failure more rapidly than women.
Select the correct answer using the code given below.
- Extracorporal Shock Wave Lithotripsy (ESWL) is most commonly used for the treatment of
